Chief and I would like to wish you all a very Merry Christmas!
May Santa bring you all the bones and squeaky toys your hearts desire (a personal note from Chief).
Happy Holidays
Jumpstart Therapies is a volunteer group dedicated to improving the understanding of our relationship with nature and animals through animal assisted therapeutic interventions.
Leya enjoys watching Chief chase toys, so we've used this while at the same time, targeting other goals for therapy. In physical therapy, Leya is working on strengthening activities and postural control. In this video, she is using her gait trainer to increase weight bearing to her lower extremities while she uses her communication device to indicate her needs. For occupational therapy, I am wanting her to actively move her upper extremities to use her device or indicate with her hands her choices. She uses some simple signs, such as "more" and "all done" to indicate her needs. Both of these signs require the use of both hands, so we are also addressing bilateral coordination.
What is not shown in this video (because the photographer--me--forgot the camera during one of her BEST therapy sessions) was Leya doing some AMAZING things while watching Chief. Below is a synopsis of that remarkable session.
Leya has been having months of therapy sessions where she is more focused on her mother than playing, so getting her to actively participate in her session has been HARD! But this session with Chief was the exception. She tolerated being placed on her stomach over a bolster for 10 minutes (before she wouldn't tolerate a minute of this). She also wanted to see Chief jump over his obstacle course jump. When I asked her if she wanted to see him jump low or high (and I gestured for low and high), she raised BOTH arms way above her head to indicate high--a FIRST during our sessions. Then, when she was ready, she used her communication device accurately to tell us "do a trick please". Lastly, she didn't shed one tear the entire session. She was laughing and carrying on in such an amazing way. Meanwhile, Chief's poor tongue was hanging out because he was tired from jumping so high...so many times!!
That, folks, is the impact of AAT on these children's lives.
Tammy
As Chief and I entered the room today to the cheers of "It's Chief!!", we heard one little voice afterward that we had heard in limited use before....usually just saying "Momma". This little voice cheered out "Chieeeee". That's right...Leya said Chief's name for the first time today, on her own, without any prompting from the therapists...and her mom was present to witness it!! We were all so taken back by what happened that we stopped for just a minute, before one of us said..."did she just say Chief?" The slow little smile on her face confirmed it!! Leya was telling us she was happy to see her new friend!!
In this video, Leya is instructing me to throw the ball for Chief using her switch devices and also instructing Chief to "go get the ball". We had tried to get Leya to throw the ball, but she was reluctant to do it. But, she did get a big kick out of watching Chief run across the floor. So, in this video, she is working on weight bearing through her legs in her standing frame while she uses a switch to functionally communicate with us, and using her hands to make her choices.
Way to go Leya!!
Tammy
This video is of our training session where I am teaching Chief to jump over the agility jump and to crawl under it. My future goal for these behaviors is to have him participate in obstacle courses with the kids or to have the child instruct Chief on the concept of "over" and "under". If we really want the child to experience these concepts, we will have the child perform this alongside Chief as he is doing the behavior. Of course, there are other ways we can utilize these behaviors, but those are the easiest to explain in written format.
This last week has been slower than before, mainly because I was out of town. But, I have to say, Chief is one smart little cookie and remembered much of what I did with him before the break. At present, Chief knows several behaviors: spin, "place" (go to your bed), over (jump over the jump), under (go under the jump), up (get onto a piece of furniture), touch (place his nose onto an object), "go get" (retrieve an object), "drop it" (release the object), sit, down, stay, close (walk close to handler), scoot (get on belly and crawl forward), tunnel (go through an agility tunnel), paw (give paw to handler), jack (pick up his soft toy jack), ball (pick up his ball), and he is learning more and more each day. Chief learns things quickly, and within several repetitions, has the behavior with about 75% accuracy. If he performs the behavior several times a day, including in a new environment, he has it mastered within several training sessions.
I think the funniest thing about working with Chief is that he is very much like a child with ADHD. He gets bored quickly, likes things fast paced, and gets a little upset if he has to do the same thing more than 5-6 times. On several occasions, he has literally whined and barked if he is bored with a behavior. This is usually when I know...HE's GOT IT! It's very much like him saying..."oh my gosh lady...not again!!" I don't really want him to do this (but I can't help but chuckle to myself as it is happening). Meanwhile, outwardly, I am not reinforcing the barking, with hopes that it will not continue without reinforcement. Many thanks to Becky at Texas Hearing and Service Dogs for this pointer...because I was reinforcing it without realizing it, thus creating my own little nightmare!! :)
Tammy
Tammy...what is that scary thing??????
Today's lesson....riding toys!!
An important aspect of the training process is making sure the dog is comfortable around different equipment they may encounter in a rehabilitation environment. In a hospital setting this may include walkers, wheelchairs, oxygen and other medical equipment, sliding doors, elevators, etc. The same is true in a pediatric setting, but the equipment may change form a bit. Much of what we do in pediatric therapy is play therapy, involving the use of different types of children's equipment (seen here). I chose this scooter because it is used often, has moving parts, makes noise, and quite frankly, is the only toy that could fit me!
To make it a positive experience, I clicked and treated Chief each time he initially looked at me while on the toy, then when he moved closer to me on the toy, and finally, when he was relaxed and interacting with me while on the toy. As he learned it was fine stationary, we advanced to the toy moving around him. At first, he was hesitant, but the treats and thought of getting a treat soon won over the thoughts of this "scary thing" attacking him. One thing I can say about Chief...once he accepts something as "okay", it truly is! He was acclimated to this toy in less than 10 min, and when shown it again later, he wagged his tail and sniffed it. That reaction earned him another treat.
We will do this process with many of the toys and equipment we use in our therapy gym, as that is where he will be working the majority of the time. I think that Chief will accept them as quickly as he did this toy. I'll be there to help him along the way.
I think he likes this style of learning!!
Tammy
I think this discovery process is always the most fun of any new relationship, especially with a dog. You learn so much, and much of what you learn can be managed, if addressed early on. Now that we know some of Chief, we can set him up for success. But, learning is a daily thing...and as we go along, we will make mistakes but also successes!
Tammy
After our visit to the pediatric clinic, Chief and I made our way to the nursing home (my other job). By this time, he had overcome any uncertainty and seemed just eager to explore the possibilities. As we walked in the door, I could hear the "ooos" and "ahhs" starting...."look at that pretty dog!" or "Tammy...what is that with you??" Chief just trotted along beside me, seemingly aware that he was the center of attention (and I know he was enjoying it!).
Throughout the course of the afternoon, different residents took their turn engaging Chief in his favorite game--toss/catch the ball. This activity was perfect for my treatment session, as most of my residents were working on increasing their upper extremity range of motion or strengthening their arms. People who typically avoid activity because it is discomforting to their shoulders were throwing the ball across the room for Chief to jump and catch. Excitedly (and in his own doggy way asking for more) Chief would chomp the ball as he returned it to me and the resident. After a few re-directions, Chief learned that I wanted him to return the ball to the resident, encouraging them to lean forward (working on postural control and balance) and reach for the ball (working on strength and range of motion). A couple of times, we were able to get Chief to do his "I Love You" for the ball...which erupted the room into laughs and coos of love.
The company of Chief was extremely important to one gentleman, who received news on Thursday that his dog had been taken to the shelter while was recuperating at the nursing home. The last few days since that news had been very traumatic for this man, as his dog was his only companion. A friend had been caring for the dog in his absence and when she arrived to feed him, discovered the gate to his backyard open and the dog missing. A neighbor made her way over to tell this caregiver that, just that morning, Animal Control had picked up the dog. After several phone calls, our resident was able to track down the shelter where his dog was taken and convinced them to hold the dog until he could make arrangements to have a friend pick it up. The reason I say that Chief's presence was important for this gentleman was observed in Chief's careful position next to this man. Despite his position in the corner of the room, Chief made sure that he laid on the floor within reach, so that as he felt like it, the man could reach down and give Chief a little pat. Even though it was not his own dog, this man later told me that Chief had filled that emptiness for the short time that he was there.
That is what Animal Assisted Therapy is all about....!
Tammy
Our first stop, KidzTherapeze. We arrived about 15 minutes prior to my first patient, just enough time for Chief to gather his bearings, meet the staff, and discover the new stuffed toys waiting for him. Although I had intended to wait a few days to introduce Chief to kids, my planned had a few holes in it. My boss, who was to dog sit while I was in session, hadn't shown up yet, so I had to take Chief into the treatment room with me. Much to my excitement (and yes, surprise), both Chief and the child became instant good friends. Michael (seen here) usually has difficulty with direction following and attention to task, but he was able to maintain focus on the task with the dog for 15 min without redirection--a HUGE accomplishment for Michael. It was a very cute session. Chief looked on as Michael sat on the floor and practiced his mazes and scissor skills. There was mutual interest and respect from both of the "boys". It was a very nice start to his day.
After Michael, we also visited with another young boy who has not been officially diagnosed with Autism, but meets much of the criteria. Together, we sat on the floor with Chief, and I went through Misha's routine of brushing his body with the Wilbarger technique, followed by joint compressions. Misha then proceeded to attempt to brush Chief in much the same manner as I had just done him. I have a song that I sing when I brush Misha ("brush, brush, brush your leg...brush it up and down...brush it here...brush it there, brush it all around"--to Row Row Row Your Boat). Usually, Misha tries to sing the song but his words are intelligible. Today, after I was done brushing him, he took the brush from my hand and began to brush Chief, singing (and I kid you not) "brush brush brush the dog, brush it up and down". It was VERY cute!!
After we were done treating kids, Chief and I did a few training sessions. We practiced retrieving/dropping toys on cue, scooting, and spins. Chief is a quick learner and is showing very quick ability to retain learning from previous sessions. It's very exciting to work with a dog who is a quick learner and will move (yes, I found a way to get past the automatic sit!!)
Next post will talk about Chief at the nursing home.
Tammy